Advancing data sharing to improve the health of all Californians
Accounts Receivable Specialist
Location
Arizona + 11 moreAll locations: Arizona | Florida | Idaho | Louisiana | New Hampshire | North Carolina | Missouri | South Carolina | Tennessee | Texas | Vermont | Virginia
Posted
1 day ago
Salary
$47K - $52K / year
Seniority
Mid Level
Job Description
Accounts Receivable Specialist
Connecting for Better Health
• Manage assigned insurance accounts receivable to ensure timely reimbursement and reduce aging balances. • Follow up with insurance payers on outstanding claims, underpayments, denials, and payment discrepancies. • Investigate and resolve claim denials by submitting corrected claims, appeals, reconsiderations, and supporting documentation in accordance with payer requirements. • Review claim edits and rejections to ensure accurate resubmission and minimize future denials. • Accurately post insurance payments, adjustments, and remittances into the billing system. • Perform daily payment reconciliation by ensuring posted payments align with electronic remittance advice (ERA), explanation of benefits (EOB), bank deposits, and payment reports. • Research and resolve unapplied cash, payment variances, overpayments, and underpayments. • Reconcile payer payments against contracted reimbursement rates and escalate payment discrepancies as appropriate. • Maintain accurate documentation of AR activities, payer communications, payment research, and resolution outcomes. • Respond professionally and empathetically to patient inquiries regarding insurance claims, billing statements, payment activity, balances, and Oshi's billing model, policies, procedures, and applicable healthcare regulations. • Maintain open communication with providers, payers, and internal stakeholders to investigate, resolve, and prevent claim and payment issues. • Collaborate with Billing, Eligibility & Benefits, Credentialing, Finance, Clinical Operations, and other cross-functional teams to resolve reimbursement issues and improve revenue cycle performance. • Analyze accounts receivable, payment, and denial data to identify trends, root causes, and opportunities for process improvement. • Monitor and report on AR performance, payment posting accuracy, denial trends, aging, and other key revenue cycle metrics, providing insights and recommendations to leadership. • Support month-end close activities, payment balancing, reporting, and audit requests. • Identify recurring reimbursement or operational issues and recommend process improvements to improve payment accuracy, accelerate cash collections, and reduce denials. • Ensure compliance with organizational policies, payer requirements, financial regulations, HIPAA, and healthcare billing standards while maintaining accuracy and integrity in all revenue cycle activities.
Job Requirements
- Bachelor's Degree in Business Administration or relevant course work.
- 2+ years of healthcare revenue cycle experience with a focus on accounts receivable, payment posting, or insurance billing.
- Knowledge of medical billing, insurance claims processing, and payer reimbursement.
- Experience resolving claim denials, underpayments, and payment discrepancies.
- Experience posting payments and reconciling ERAs, EOBs, deposits, and unapplied cash.
- Experience working successfully in a remote work environment with the ability to manage priorities independently.
- Proficiency with EMR and medical billing systems.
- Strong analytical, problem-solving, and organizational skills with excellent attention to detail.
- Excellent communication and customer service skills.
- Proficiency with Google Workspace (Sheets, Docs, Gmail) and the ability to quickly learn new systems and technology.
Benefits
- Health Benefits: Employer-sponsored medical, dental, and vision coverage
- Time Off: Unlimited PTO + 11 paid company holidays
- Retirement: Eligibility to contribute to 401(k)
- Work Style: Remote-first — work from home within our approved states
- Growth: Tailored professional development opportunities as we scale
- Life Concierge: Access to Overalls, because we know life happens
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